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NR511 Midterm Questions With Complete Solution2
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NR511 Midterm Questions With Complete Solution2
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NR511 Midterm Questions With Complete Solutionsactinic keratosis Correct Answer AKs are small papules that
can be flesh-colored or slightly hyperpigmented. Areas of skin
that have AK feel rough and uneven to the touch due to
hyperkeratosis and have been likened to feeling like sandpaper.
The hyperkeratosis of these lesions is characteristically hard or
spiny.
AKs are found in areas of skin that have been chronically
exposed to the sun.
The diagnosis is clinical.
The treatment includes topical therapy and cryosurgery.
AKs are precancerous lesions that can progress to SCC.
Any AK lesion that does not respond to treatment should be
referred to a dermatologist for further evaluation.
p. 249
Acute diverticulitis Correct Answer S/S bleeding w/o pain or
discomfort
fever, chills, tachycardia, localized LLQ pain with anorexia,
nausea and vomiting.
Dx: CT scan with contrast to rule out gynecological or bowel
pathology
Acute Otitis Media (AOM) Correct Answer Dx by otoscopy
tympanic membrane with or w/o effusion, decrease light reflex
or absent, decreased mobility.
external auditory canal red and erythematous.
TTO with amoxicillin 80-90 mg/kg/day is the election for
children in daycare or who received treatment during the
previous month.
,alopecia areata Correct Answer Autoimmune disorder that
causes the affected hair follicles, usually begins with one or
more small, round, smooth bald patches on the scalp.
AOM with change in hearing Correct Answer if change in
hearing threshold is greater than 25 db referral and more
aggressive treatment is needed.
appendicitis Correct Answer constant periumbilical pain
shifting to RLQ
vomiting, small diarrhea
Fecalith
no systemic symptoms
increased WBC and RBC in urine
WBC only really high on perforation or gangrene
ketonuria if prolonged vomiting
+ Obturator sign: flexing rt hip and knee, rotate the leg
internally stretching the obturator muscle producing pain on
RLQ.
Atopic dermatitis Ichthyosis vulgaris: Correct Answer
hyperlinearity of the palms and soles and fishlike scales,
especially on the lower legs
Atopic Dermatitis Keratosis Pilaris Correct Answer Keratosis
pilaris ("chicken skin"): asymptomatic follicular papules,
particularly on the posterolateral aspects of the upper arms and
lateral thighs
Lichenification of the skin, with a predilection for flexural
creases
, Atopic dermatitis sign Pityriasis alba Correct Answer
hypopigmented asymptomatic areas on the face and shoulders
Atopic dermatitis sign: Allergic "shiners": Correct Answer
facial pallor and infraorbital darkening
Atopic dermatitis sign: Dennie-Morgan lines Correct Answer
(infraorbital folds) caused by edema
Atopic Dermatitis sign: Keratoconus: Correct Answer
Keratoconus: a cone-shaped cornea may develop in the second
or third decade of life (in severe cases)
Atopic Triad Correct Answer asthma/allergic rhinitis/(atopic
dermatitis) eczema
Bacterial conjunctivitis Correct Answer pinkeye; very
contagious
the patient must stay home for 24 hours of antibiotic treatment.
balanitis Correct Answer The typical patient is a sexually
active adult man with a reddish rash and itching on the glans
penis. It is sometimes accompanied by penile burning after
intercourse. Some patients will report having a female sexual
partner who is being treated for a yeast infection or who has
irritative vaginal symptoms or a male sexual partner with
anogenital or perianal candidiasis.
blepharitis Correct Answer inflammation of the glands and
eyelash follicles along the margin of the eyelids by
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